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What is laryngomalacia?
It is usually not serious and does not interfere with a childs growth and
development. More worrisome symptoms to be mindful of include difficulty with
feeding, poor growth, inward collapse of the chest wall above or below the ribs
during inspiration (retractions), and color changes to pale or blue.
Laryngomalacia is often associated with stomach acid reflux. All infants have
reflux or spitting up to some degree. However, infants with laryngomalacia often
have more stomach acid reflux than babies without laryngomalacia. When the
stomach acid regurgitates to the level of the voice box, it can cause irritation or
swelling of the airway and worsening of the noisy breathing. The child should be
held in an upright position for 30 minutes after feeding and never fed lying down.
If the reflux is significant, medicine may be prescribed and thickening of feeds
may be recommended.